Kerry C. Davirro, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Practice address

881 Alma Real Dr
Suite 105
Pacific Palisades, CA 90272-3731

Phone

(310) 459-9833

Fax

(310) 459-9834

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Steven Lee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952482259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 105",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731",
            "telephone_number": "310-459-9833",
            "fax_number": "310-459-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 105",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731",
            "telephone_number": "310-459-9833",
            "fax_number": "310-459-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIRRO",
        "first_name": "KERRY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Daneshrad-Farnoosh, PHARM.D.
• Victoria Lin Danhakl, MD
• Daniel Knox Counseling
• David W. Dorfman, MD, DDS, Inc.
• Anne Etoile Davie, M.D.
• Jason Joseph Debonis
• Debra Maltenfort, MD, Inc.
• James George Dedic, LCSW
• Justine Sarah Dembo, M.D.
• Bethany Leda Donowho, NP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.